Individual
DR. BENJAMIN MICHAEL SCHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1915 BISHOP LN, LOUISVILLE, KY 40218-1901
(502) 459-3338
(502) 459-7509
Mailing address
1915 BISHOP LN, LOUISVILLE, KY 40218-1901
(502) 459-3338
(502) 459-7509
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
000157
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000157
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051632
ANTHEM
—
01
—
1054925
PASSPORT
—
01
—
4363318
AETNA
—
01
—
480025313
RAILROAD MEDICARE
—
05
—
80001571
—
KY
Enumeration date
07/14/2005
Last updated
09/09/2015
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